Table 3.

Proposed criteria for diagnosis and staging of scleromyxedema


Diagnosis 
    Histologic presence of dermal mucin deposit with increased collagen deposition and fibroblast proliferation and presence of a serum monoclonal gammopathy  
Staging 
    Clinical stage I: limited cutaneous papular mucinosis  
    Clinical stage II: generalized cutaneous mucinosis and/or extracutaneous manifestation(s)  
    Clinical stage III: generalized cutaneous mucinosis and/or extracutaneous manifestation(s) and disease-related Karnofsky PS < 50%
 

Diagnosis 
    Histologic presence of dermal mucin deposit with increased collagen deposition and fibroblast proliferation and presence of a serum monoclonal gammopathy  
Staging 
    Clinical stage I: limited cutaneous papular mucinosis  
    Clinical stage II: generalized cutaneous mucinosis and/or extracutaneous manifestation(s)  
    Clinical stage III: generalized cutaneous mucinosis and/or extracutaneous manifestation(s) and disease-related Karnofsky PS < 50%
 

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